The intermolecular radical addition to the carbonyl group is difficult due to the facile fragmentation of the resulting alkoxyl radical. To date, the intermolecular radical addition to ketones, a valuable approach to construct quaternary carbon centers, remains a formidable synthetic challenge. Here, we report the first visible-lightinduced intermolecular alkyl boronic acid addition to αketoacids enabled by the Lewis acid activation. The in situ boron complex formation is confirmed by various spectroscopic measurements and mechanistic probing experiments, which facilitates various alkyl boronic acid addition to the carbonyl group and prevents the cleavage of the newly formed C−C bond. Diversely substituted lactates can be synthesized from readily available alkyl boronic acids and ketoacids at room temperature merely under visible light irradiation, without any additional reagent. This boron activation approach can be extended to alkyl dihydropyridines as radical precursors with external boron reagents for primary, secondary, and tertiary alkyl radical additions. The pharmaceutically useful anticholinergic precursors are easily scaled up in multigrams under metal-free conditions in flow reactors.T he carbonyl group is a readily available building block for the synthesis of substituted alcohols. 1 While the nucleophilic addition to the carbonyl group is favorable and widely studied, the radical addition to the carbonyl group is difficult, as the resulting alkoxyl radical undergoes βfragmentation readily to reverse the reaction, especially for the radical addition to ketones (Scheme 1a). 2 To date, the intermolecular radical addition to ketones, 3,4 which is valuable to construct quaternary carbon centers, 5 remains a formidable synthetic challenge. Lactates are important biological metabolites, which are precursors of poly-α-hydroxy acids for targeted drug delivery, 6 and include many prescription drugs such as anticholinergic Oxybutynin and Glycopyrrolate (see Scheme 3b for structures). 7 The α-ketoacid is a readily available synthetic building block to prepare lactates by nucleophilic additions with alkyllithiums or Grignard reagents. 8 However, these reactions are susceptible to air and moisture, and the strong nucleophilicity of these reagents unavoidably result in undesirable side reactions. 9 To this end, the new synthetic approaches to lactates, especially from different mechanistic manifolds, are in high demand.Ketoacids currently undergo decarboxylative acyl radical formations in radical reactions, and their engagement as the radical acceptors remains unknown (Scheme 1b). 10 Organoborons are environmentally friendly and readily available, and are stable synthetic building blocks with Lewis acidity. 11 In this communication, we report the first alkyl boronic acids radical addition to ketoacids with the Lewis acid activation from organoborons, which can be extended to alkyl dihydropyridine radical addition to ketoacids in the presence of external boron reagents (Scheme 1c).